Individual
DR. AMY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, LPC
Contact information
Practice address
3585 VAN TEYLINGEN DR STE C, COLORADO SPRINGS, CO 80917-4872
(719) 629-8574
(719) 213-2839
Mailing address
2906 BEACON ST STE B, COLORADO SPRINGS, CO 80907-6193
(719) 629-8574
(719) 213-2839
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC.0012243
CO
103T00000X
Psychologist
Primary
PSY.0005029
CO
Other
Enumeration date
09/17/2015
Last updated
05/27/2023
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